Isolated working rat hearts were subjected to 20 min of global ischaemia and either 5 min or 15 min of reperfusion. The subcellular distribution of ATP, ADP, AMP, phosphocreatine and Pi were determined before and after ischaemia by the method of non-aqueous tissue fractionation. Ventricular function and the cytosolic, mitochondrial and ATPase-associated compartmentation of metabolites were measured. After 5 rnin of reperfusion, only 13 k 9% of the pre-ischaemic contractile function was restored compared to 67 f 8% after 15 rnin reperfusion. ATP was reduced in all cellular compartments after 5 rnin of reperfusion but was only decreased from pre-ischaemic values in the cytosolic compartment after 15 rnin of reperfusion (17.1 & 3.9 nmol/mg vs.4.3 k 1.5 nmol/mg total protein; P < 0.05). The mitochondrial [ATP]/[ADP] was reduced from a normal value of 4.36 to 1.79 after 5 rnin but recovered to 4.62 after 15 min of reperfusion. Most of the Pi was located in the mitochondria or with the ATPase fraction of the cell, with only 16% of the total Pi free in the cytosol. This study indicates that the capacity of the heart to recover function may be compromised during early reperfusion by a 59% increase in mitochondrial phosphate content and during late reperfusion by a reduced cytosolic/mitochondrial concentration ratio of both ATP (from 0.85 to 0.19) and phosphocreatine (from 3.9 to 1.24).Myocardial ischaemia is characterised by the depletion of cellular high-energy phosphates, ATP and phosphocreatine. Following the onset of total global ischaemia phosphocreatine declines very rapidly, falling to zero within 5 min as measured by 31P NMR [I, 21, or by 75-85% of the fully oxygenated (normoxic) values as measured chemically [3, 41. ATP, however, declines more slowly and the onset of irreversible damage, in terms of a failure to recover function, is generally accepted to have occurred when ATP has declined to less than 40% of normoxic values [3 -61. After this period, which is between 20 rnin and 30 min in the isolated rat heart [3 -51, the return of flow is associated with a markedly decreased contractile function in spite of the fact that the total tissue content of ATP is restored to approximately 50% of normal and phosphocreatine, often returns to pre-ischaemic values.Compartmentation of reactants can influence the cytosolic phosphorylation potential ([ATP]/[ADP][P,]) which is suggested to be the major control between myocardial respiration and cardiac contractility (for a review, see Gibbs [7]). However, the distribution of ATP and its catabolic products ADP and AMP between the cytosolic, mitochondrial and myofibrillar fractions of the cell following a period of ischaemia is unknown.Recent studies with 31P NMR have described the preferential depletion of cytosolic ATP during ischaemia in the heart [2] and liver [8]. These conclusions are based on the fact that only the free cytosolic fraction of the total intracellular pool of ATP is NMR-visible. However, this is by no means certain and others have reported that all the AT...